Образец оформления декларации

DEPARTMENT OF THE TREASURY

UNITED STATES CUSTOMS SERVICE

CUSTOMS DECLARATION

PRESENT TO THE IMMIGRATION AND CUSTOMS INSPECTORS

EACH ARRIVING TRAVELER OR HEAD OF A FAMILY MUST WRITE IN THE FOLLOWING INFORMATION, PLEASE PRINT

1 FAMILY NAME GIVEN NAME MIDDLE INITIAL

2 DATE OF BIRTH (Mo./Day/Yr.)

3 VESSEL. OR AIRLINE & FLT NO.

4 CITIZEN OF (Country)

5 RESIDENT OF (Country)

6 PERMANENT ADDRESS

7 ADDRESS WHILE IN THE UNITED STATES

8 NAME AND RELATIONSHIP OF ACCOMPANYING FAMILY MEMBERS

9 Are you or anyone in your party carrying fruits, plants, meats, other plant or animal products, birds, or other live organisms of any kind?

□ YES □ NO

10 Have you or anyone in your party been on a farm or ranch outside the U.S.A. in the last 30 days?

□ YES □ NO

11 Are you or any family member carrying over $5000.00 (or the equivalent value in any currency) in monetary instruments such at coin, currency, traveler’s checks, money orders, or negotiable instruments in bearer form?

□ YES □ NO

12 I certify that I here declared all items acquired as required herein and that all oral and written statements which I here made are true, correct and complete.

SIGNATURE:

NON-

CITIZENS >

ONLY

13. U.S. VISA ISSUED AT (Please)

14. VISA DATE (Mo./Day/Yr.)

The laws of the United States require that you declare ALL articles squired abroad (whether wets or used, whether dutiable or not, and whether obtained by purchase, as a gift, or otherwise which the in your or your family’s possession as the time of arrival. Repairs made abroad also must be declared).

Unit 1 Education…………………………………………………………………….......

3

Unit 2 Countries and nations……………………………………………………………

45

Unit 3 City traffic………………………………………………………………………..

81

Unit 4 Scientists………………………………………………………………………..

110

Unit 5 Inventors and their inventions…………………………………………………..

134

Unit 6 Modern cities…………………………………………………………………….

176

Приложение А. Образец оформления декларации………………………………..

205